Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $58.88 / $93.33	Facility		$28.84	$58.88	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $51.29	Professional		$15.14	$28.84	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $89.13	Facility		$33.88	$33.88	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $60.26	Professional		$15.49	$15.49	$60.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $33.88	Facility		$20.42	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $33.88	Professional		$25.12	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $72.44 / $218.78	Facility		$25.70	$72.44	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $165.96	Professional		$23.44	$46.77	$165.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $93.33	Facility		$28.84	$44.67	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $66.07	Professional		$16.22	$23.99	$66.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $41.69	Professional		$28.84	$33.88	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $37.15 / $141.25	Facility		$24.55	$37.15	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $50,118.72	Facility		$39.81	$64.57	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $40.74	Facility		$20.42	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $51.29	Professional		$14.45	$20.42	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $85.11	Facility		$26.92	$38.90	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $64.57	Professional		$27.54	$33.88	$64.57